Anjae Taray Holder

Pediatric Nurse Practitioner · Mansfield, TX

Individual Active NPI

NPI number 1831905694

Practice location

1759 Broad Park Cir S Ste 201
Mansfield, TX 76063-7834
Phone
(682) 341-3910

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NPI record

NPI
1831905694
Entity type
Individual (Type 1)
Enumeration date
December 6, 2024
Last updated
December 6, 2024
Certified
December 6, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Nurse Practitioner Primary 363LP0200X 1174771 TX

Mailing address

1101 Miramar Ave
Desoto, TX 75115-4816

About Anjae Holder

Anjae Taray Holder is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Nurse Practitioner (code 363LP0200X). The practice location is 1759 Broad Park Cir S Ste 201, Mansfield, TX 76063-7834. The NPI number 1831905694 was assigned on December 6, 2024 and the record was last updated on December 6, 2024.

Anjae Holder lists a license in the registry: #1174771 (TX) for Pediatric Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Anjae Taray Holder?

The NPI number is 1831905694.

What is the phone number of Anjae Holder?

The phone number listed for the practice location is (682) 341-3910.

Where is Anjae Holder located?

1759 Broad Park Cir S Ste 201, Mansfield, TX 76063-7834.

What is the taxonomy code for Anjae Holder?

The primary taxonomy code is 363LP0200X – Pediatric Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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